| NPI | 1891442661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 12416) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 12416) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2023-01-10 |